Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $554.00 / $723.95 / $899.69	Professional		$554.00	$723.95	$899.69
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,624.26 / $5,757.82 / $5,757.82	Facility		$1,624.26	$5,757.82	$5,757.82
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $594.00 / $1,072.35 / $1,276.49	Professional		$594.00	$1,072.35	$1,276.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $894.40 / $894.40 / $1,234.50	Professional		$894.40	$894.40	$1,234.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $45.00 / $50.00	Professional		$40.00	$45.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,789.15 / $2,149.00 / $2,179.51	Facility		$1,789.15	$2,149.00	$2,179.51
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,789.15 / $2,149.00 / $2,179.51	Professional		$1,789.15	$2,149.00	$2,179.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,624.26 / $1,624.26 / $1,624.26	Facility		$1,624.26	$1,624.26	$1,624.26
United Facility/Professional Professional Modifier Low / Median / High Price $664.34 / $704.39 / $1,173.99	Professional		$664.34	$704.39	$1,173.99